Rhode Island Small Estate Affidavit
This document is prepared in accordance with the Rhode Island Small Estates Act. It is used to facilitate the distribution of the estate of a deceased person, referred to as the decedent, when the total value of the estate does not exceed the threshold established by Rhode Island law.
Please provide all the requested information accurately to ensure the affidavit is processed without delay.
Affidant Information
Full Name: ____________________________
Relationship to Decedent: ____________________________
Address: ____________________________
City, State, ZIP: ____________________________
Telephone Number: ____________________________
Decedent Information
Full Name of Decedent: ____________________________
Date of Death: ____________________________
County of Death: ____________________________
Last Address: ____________________________
Estate Information
The affiant states that the value of the entire estate, subject to probate, does not exceed the amount specifically prescribed by the Rhode Island Small Estates Act, and it has been at least thirty (30) days since the decedent passed away.
Estimated Value of Estate ($): ____________________________
Description of Property: ____________________________
Other assets and their estimated values: ____________________________
Debts and Liabilities
List any known debts and liabilities of the estate:
- ____________________________
- ____________________________
- ____________________________
Attestation
I, the undersigned affiant, do hereby affirm that the information provided herein is true and accurate to the best of my knowledge and belief. I understand that knowingly making a false statement on this affidavit may subject me to criminal penalties.
Date: ____________________________
__________________________________
Signature of Affiant
State of Rhode Island
County of ____________________________
Subscribed and sworn to (or affirmed) before me on this __th day of ______________, 20__ by ___________________________________, who is personally known to me or who has produced _________________________ as identification.
__________________________________
Signature of Notary Public
My commission expires: ____________________________